Alfonso, Emmanuel

Alfonso, Emmanuel was paid $10K by Medicaid between Jun 2018 and Jan 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.

33Billing provider infoALFONSO, EMMANUEL
CITY OF INDUSTRY, CA 91744

33aNPI1831150150assigned 03/28/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims687

24DCodes billed5

24AFirst – last monthJun 2018 – Jan 2020

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,196 of 2,668

Median peer was paid$173K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	302	$4K
2019	346	$5K
2020	39	$649.35

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	50%	115	115	$5K
D0230	Intraoral - periapical each additional radiographic image	15%	362	185	$1K
D1208	Topical application of fluoride, excluding varnish	15%	137	137	$1K
D0274	Bitewings - four radiographic images	9.8%	43	43	$928.80
D1120	Dental cleaning, childProphylaxis - child	9.5%	30	30	$900.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.